Doctor Name: | MRS. MARCIA M RUTBERG |
NPI Number: | 1871576207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SA5864 |
Business Practice Address: | 7269 Oak Moss Dr Sarasota, FL - 342416215 |
Business Phone Number: | 9413428784 |
Business Fax Number: | 9413428784 |
Mailing Address: | 7269 Oak Moss Dr, SARASOTA |
State: | FL |
Postal Code: | 342416215 |
Phone Number: | 9413428784 |
Fax Number: | 9413428784 |
NPI Enumeration Date: | 11/21/2005 |
NPI Last Update Date: | 06/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |